MYRTLE BEACH VA CLINIC
NPI 1821036286
Clinic/Center - VA in Myrtle Beach, SC

Active since June 04, 2006CLIA 42D2219858 · Accreditation
1800 AIRPARK DR, MYRTLE BEACH, SC 29577(828) 257-2333 Get Directions Write a Review

NPPES record last updated: May 25, 2021. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: May 25, 2021, Apr 13, 2018 (2 updates tracked since 2018).

About Myrtle Beach Va Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MYRTLE BEACH VA CLINIC (NPI 1821036286) is a healthcare organization registered as a va in Myrtle Beach, South Carolina and active in the NPI registry since June 2006. The organization holds an CLIA Accreditation certificate valid through September 30, 2026 and lists Erin Potter, Npi Team Member, as its authorized official.

NPPES Registry Identity

NPI1821036286
Entity TypeOrganization
Primary Taxonomy261QV0200X
Legal Business NameCHARLESTON VAMC
Location Address1800 AIRPARK DRMyrtle Beach, SC 29577-1412
Mailing AddressPo Box 89425Cleveland, OH 44101-6425 · (828) 257-2333
Organization SubpartNo
Authorized OfficialErin PotterNpi Team Member · (202) 382-2579
Enumeration DateJune 4, 2006
Last NPPES UpdateMay 25, 20212 updates tracked since enumeration
NPPES CertifiedMay 25, 2021
NPI 1821036286 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · VAAmbulatory Health Care Facilities
Taxonomy Code261QV0200X
1800 AIRPARK DR, Myrtle Beach, SC 29577

Other Names 1

Other NameMyrtle Beach Va Clinic

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 42D2219858

Myrtle Beach Outpatient Clinic · Myrtle Beach, SC
Active · expires Sep 30, 2026
CLIA Number42D2219858
Laboratory TypeCommunity Clinic
Certificate Effective DateApril 8, 2021
Certificate Expiration DateSeptember 30, 2026
Laboratory DirectorAlexandria Avery
Laboratory Phone(843) 789-6400
Laboratory LocationMyrtle Beach Outpatient Clinic1800 Airpark Drive, Myrtle Beach, SC 29577
CLIA data matches this NPI record on: Address
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
1800 AIRPARK DR
MYRTLE BEACH, SC 29577
Social Worker
1800 AIRPARK DR
MYRTLE BEACH, SC 29577
Licensed Practical Nurse
1800 AIRPARK DR
MYRTLE BEACH, SC 29577
Internal Medicine
1800 AIRPARK DR
MYRTLE BEACH, SC 29577
Social Worker (Clinical)
1800 AIRPARK DR
MYRTLE BEACH, SC 29577
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1800 AIRPARK DR
MYRTLE BEACH, SC 29577
Social Worker (Clinical)
1800 AIRPARK DR
MYRTLE BEACH, SC 29577
Pedorthist
1800 AIRPARK DR
MYRTLE BEACH, SC 29577

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charleston Vamc's NPI number?

The NPI number for Charleston Vamc is 1821036286. It was assigned to this organization in the NPPES registry on June 4, 2006. The provider is also known as Myrtle Beach VA Clinic.

Where is Charleston Vamc located?

Charleston Vamc is located at 1800 Airpark Dr, Myrtle Beach, SC 29577. The listed phone number is (828) 257-2333.

What is Charleston Vamc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in VA, with taxonomy code 261QV0200X.

Does Charleston Vamc hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 42D2219858) is associated with this NPI, valid through September 30, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Charleston Vamc was last updated on May 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.